Registered Nurse - Referral Coordination Team

This Registered Nurse (RN) will serve on the Referral Coordination Team, reviewing referrals for community care eligibility, medical necessity, and care coordination. Communicates healthcare options to Veterans, coordinates referrals across VA and community providers, manages patient flow and appointments, and collaborates with multidisciplinary teams. Provides referral guidance, staff education, resource utilization analysis, and clinical support to optimize Veteran access to care and services.

Duties include but are not limited to: Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Reviews patient referrals to determine community care eligibility and medical necessity using clinical judgment and established guidelines. Coordinates referrals and continuity of care among VA facilities, community providers, and interdisciplinary healthcare teams. Educates Veterans on healthcare options, including VA, community care, telehealth, and other available services. Communicates with Veterans through phone, VA Video Connect, and secure messaging to support care coordination and informed decision-making. Manages outpatient clinic patient flow, appointment scheduling, and timely processing of new consults and referrals. Collaborates with providers and clinic staff to ensure timely access to care and resolve barriers to service delivery. Provides education and guidance to providers and staff regarding referral management, care modalities, and medical management processes. Analyzes referral trends and utilization data to identify opportunities for process improvement and resource optimization. Develops and maintains care coordination agreements with internal and external services to enhance patient access and care transitions. Serves as a clinical resource to multidisciplinary staff while supporting quality improvement initiatives, customer satisfaction, and effective utilization of VHA resources. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday - Friday, 7:30am to 4:00pm Telework: ADHOC-May be authorized (Employee who Telework on an occasional, episodic, or short-term, and have completed required telework training and telework agreement). This is not a virtual position. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Preferred Experience: Bachelor of Science in Nursing (BSN) Specialty Clinic experience The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical evaluation. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.